| NPI | 1144967399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A168906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A168906) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-12-06 |